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General NPI Number Information
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NPI Number | 1982480596
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Entity Type | Individual
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Provider Name | SAMANTHA TELESCO
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Gender | Female
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 48 FRANKLIN AVE
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City | PEARL RIVER
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State | NY
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Zip | 10965-2505
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Country | US
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Telephone | 845-620-3990
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Fax |
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Provider Business Mailing Address
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Address Line | 59 STEWART AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-5731
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Country | US
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Telephone | 914-484-7269
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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